Jeanjacques Mbabuike, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

263896 Issued in NY

Practice address

65 Broadway Ste 1004
New York, NY 10006-2550

Phone

(646) 599-0585

NPI assigned

Jan 9, 2012

Last updated

May 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Pain Management

Education

State University of New York at Buffalo School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uptown Nyc Medical IncGroup PAC ID 4688954035, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.61 of 100Reported as group

Quality

95

Improvement activities

40

Cost

65.38

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uptown Nyc Medical, Inc

  • General Practice Physician
  • New York, NY
  • NPI 1811440456

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Integrated Wound Care New York Medical PLLC

  • General Practice Physician
  • Tappan, NY
  • NPI 1639649643

  Single Specialty

  Medicare reassignment NPD
• Jeanjacques Mbabuike MD PLLC

  • Pain Clinic/Center
  • New York, NY
  • NPI 1740141233
  NPD Authorized official
• Uptown Broadway Medical PC

  • Pain Clinic/Center
  • New York, NY
  • NPI 1174484661
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1447520408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLIVER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062550",
            "telephone_number": "646-599-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBABUIKE",
        "first_name": "JEANJACQUES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "263896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Mazzola, M.D.
• Francesca Mazzone
• Alfredo Lorenzo Mazzuca, OD
• MB Clinicians
• MB Podiatry PLLC
• Collins O Mbachu, MD
• Nneka Mbadiwe, NP
• Chukwuemeka Mbagwu, MD
• Michael Chima Onwukwe Mbagwu, MD
• Anita A. Mbah, PA-C

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.